ST. AEMILIAN LAKESIDE (NPI# 1275700437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275700437 |
| Entity Type | Organization |
| Organization Name | ST. AEMILIAN LAKESIDE |
| Practice Address |
8901 W Capitol Dr Milwaukee WI 53222-1706 |
| Practice Telephone | 4144631880 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | MS. LAURA VAN ALSTINE (QUALITY ASSURANCE SPECIALIST) |
| Authorized Official Telephone | 4144631880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1586121 | WI | Residential Treatment Facilities |
| Street Address |
8901 W CAPITOL DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780690255 | Michael Joseph Corliss | Social Worker | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2006-08-01 |
| 1831796283 | Audra-jane Scholtes | Counselor | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2020-10-07 |
| 1104433010 | Claudia Maria Moreno | Counselor | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2020-09-24 |
| 1477164960 | Lydia R Ferraro | Counselor | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2020-08-10 |
| 1689207987 | Katherine Wargin | Counselor | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2020-02-15 |
| 1073158960 | Amanda Catalina Ramirez-negron | Counselor | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2019-11-14 |
| 1336709849 | Nancy Harwood Nedland | Psychologist | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2019-06-17 |
| 1538727656 | Kathleen Ayala | Social Worker | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2019-06-04 |
| 1649732850 | Sarah Lynn Morschauser | Clinic/Center | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2019-04-05 |
| 1164993036 | Laura Nauth | Social Worker | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764103 | Anders Developmental & Transition Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3359 N 25th St, Milwaukee, WI 53206-1237 | 2019-11-13 |
| 1629261086 | Willowglen Academy - Howard | Residential Treatment Facility, Emotionally Disturbed Children | 3959 S 51st St, Milwaukee, WI 53220-2653 | 2007-08-20 |
| 1134327943 | Bell Therapy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3018 S 9th St, Milwaukee, WI 53215-3944 | 2007-07-03 |
| 1093913709 | Bell Therapy-oklahoma Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 3245 S 24th St, Milwaukee, WI 53215-4414 | 2007-07-03 |
| 1225472632 | Reveive Youth and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2518 N 17th St, Milwaukee, WI 53206-2020 | 2013-04-29 |
| 1043521156 | St. Aemilian-lakeside, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8901 W Capitol Dr, Milwaukee, WI 53222-1706 | 2010-06-24 |
| 1356508535 | St Rose Youth & Family Center Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1033417670 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 12603 224th Ave, Benet Lake, WI 53102-1000 | 2011-03-07 |
| 1366601718 | Mercy Assisted Care Inc | Residential Treatment Facility, Emotionally Disturbed Children | 20 E Court St, Janesville, WI 53545-3976 | 2008-06-02 |
| 1346415445 | Carmelite Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1214 Kavanaugh Pl, Wauwatosa, WI 53213-2506 | 2008-04-29 |
| 1861666943 | Tomorrow's Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | N3066 Tomorrow's Lane, Waupaca, WI 54981-0192 | 2008-04-18 |
| 1093908451 | Willowglen Academy - Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 3603 S Business Dr, Sheboygan, WI 53081-7096 | 2007-08-20 |
| 1669670477 | Willowglen Academy-wisconsin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Reed St, Plymouth, WI 53073-2506 | 2007-07-03 |
| 1457559262 | Willowglen Hein Foster Care Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 207 Hein Ave, Plymouth, WI 53073-2526 | 2007-07-03 |
| 1639294168 | Northwest Passage Ltd | Residential Treatment Facility, Emotionally Disturbed Children | 7818 Moline Road, Webster, WI 54893-8545 | 2007-03-21 |
| 1285759035 | Northwest Passage - Northwest Passage II | Residential Treatment Facility, Emotionally Disturbed Children | 1661 Hams Rd, Spooner, WI 54801-9138 | 2007-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.